| NPI | 1487985172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANURAG RAMESH PATEL Owner 214-678-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |